100343_13_First_Tier_Subs_Disclosure_Fillable.pdf

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Attached to
100343 - Century Blvd. Extension - SE Lois Street to E Main Street
Solicitation number
2026.013-LUT CPS
Issued by
Washington County, Oregon

About this file

This is a First-Tier Subcontractors Disclosure Form for the Century Boulevard Extension project (Project No. 100343, Bid No. 2026.013-LUT CPS) in Washington County, Oregon. The form requires prime contractors to disclose all first-tier subcontractors subject to subsection 00120.40(f) requirements prior to bid award. The disclosure must be submitted electronically through OpenGov Procurement either with the initial bid submission or through a second linked solicitation activated after bid opening. Prime contractors must complete the form with subcontractor names, addresses, dollar values, and categories of work to be performed. The disclosure deadline is two work hours after the bid due time, and failure to submit by this deadline results in a non-responsive bid that will not be considered for award.

The Century Boulevard Extension project involves roadway construction including widening, curbs, gutters, curb ramps, bike lanes, sidewalks, and driveways; utility work including water lines and sanitary sewer laterals; storm conveyance systems and treatment facilities; retaining walls; traffic signal infrastructure; illumination and signage; pavement reconstruction; a bridge over Rock Creek; a flood overflow channel; and landscaping improvements. The project cost range is $20,000,000 to $50,000,000. If no qualifying subcontractors are used on the project, bidders must indicate "NONE" on the form and submit accordingly. Additional copies of the form may be submitted if necessary, but email submissions are not accepted.

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Text version

Century Blvd. Extension 1-5 Project # 100343 SE Lois Street to E Main Street Bid # 2026.013-LUT CPS

Page of

1.30 FIRST-TIER SUBCONTRACTORS DISCLOSURE FORM

Project Name: Century Blvd. Extension - SE Lois Street to E Main Street Project No. 100343 Bid No. 2026.013-LUT CPS

Bid Closing Date: ___________________________________________________ Bid Closing Time: ___________________________________

Prime Contractor:______________________________________ Contact Name:______________________ Phone No.:______________________

Subcontractor Name and Address

Dollar Value Category of Work to be

Performed by Subcontractor

• Submit this form electronically (on OpenGov Procurement) with the Bid, or on a second, linked solicitation that will be activated after the bid opening. Make additional copies if necessary. Email submissions will not be accepted.

• This list is to be completed and submitted no later than two work hours after the time bids are due.

• If subcontractors subject to the requirement of subsection 00120.40(f) are not used in this project, indicate “NONE” on this form and submit.

Failure to submit this form by the disclosure deadline will result in a non-responsive bid. A non-responsive bid will not be considered for award.

(11/2021)

☐ NONE

Check this box if no subcontractors meeting the requirements of 00120.40(f) will be used on this project.

Page:
Bid Closing Date:
Bid Closing Time:
Prime Contractor:
Contact Name:
Phone No:
Subcontractor Name and AddressRow1:
Dollar ValueRow1:
Category of Work to be Performed by SubcontractorRow1:
Subcontractor Name and AddressRow2:
Dollar ValueRow2:
Category of Work to be Performed by SubcontractorRow2:
Subcontractor Name and AddressRow3:
Dollar ValueRow3:
Category of Work to be Performed by SubcontractorRow3:
Subcontractor Name and AddressRow4:
Dollar ValueRow4:
Category of Work to be Performed by SubcontractorRow4:
Subcontractor Name and AddressRow5:
Dollar ValueRow5:
Category of Work to be Performed by SubcontractorRow5:
#Pages:
Check Box1: Off

File details come from the government source that posted it. Updated .